Managing Viral Warts and Hemorrhoids: Key Questions Answered

Having viral warts and hemorrhoids?

Hello Doctor, about one or two weeks ago, I noticed something on my buttocks and went to see a dermatologist.
The doctor said it was a viral wart, which I believe is genital warts.
I have undergone one session of cryotherapy and have some questions:
1.
During a routine check-up at the gynecology department, the doctor also confirmed it was genital warts and prescribed me LedaMed ointment.
I asked if I needed to go back to dermatology for more cryotherapy, and the doctor said the purpose of cryotherapy is to remove the warts, but the virus remains.
They suggested switching to the ointment and getting the HPV vaccine as soon as possible, and that further cryotherapy is not necessary.
Is what the gynecologist said correct?
2.
Subsequently, due to hemorrhoids, I visited a colorectal surgeon.
The examination revealed both internal and external hemorrhoids, and the doctor arranged for a colonoscopy to ensure there are no other issues before scheduling hemorrhoid surgery.
They also noticed the genital warts and requested blood tests (STS-RPR, TPPA, and HIV).
Currently, I see that the first two tests are negative on the National Health Insurance app.
Can I also check the HIV results on the app, or do I need to return to the clinic for the doctor to inform me? How long does it usually take to get the report?
3.
The waiting period is really agonizing, and I’m considering buying a rapid test to check myself.
Which is more accurate, saliva or blood?
4.
If I need to undergo a colonoscopy later, how should the genital warts be managed? Is there a risk of introducing the virus during the procedure? Thank you for your response, Doctor.

Xiao Mi, 30~39 year old female. Ask Date: 2024/03/23

Dr. Liao Zhongxin reply Internal Medicine

To encourage men to receive the HPV vaccine, it has been renamed the Papillomavirus vaccine.
Generally, adults carry the papillomavirus, but certain strains can lead to cancer or sexually transmitted infections.
Therefore, the government encourages both young men and women to get vaccinated.
Testing for syphilis and HIV has become quite common, with results available in two to three days.
Rapid tests have a very high accuracy rate, close to 98% or more.
Routine colonoscopy can be considered both a treatment and a screening method; if any issues are found in the anal or rectal area, patients can ask their physician to address them during the procedure.

Reply Date: 2024/03/23

More Info

Managing viral warts, commonly known as genital warts or condylomata acuminata, and hemorrhoids can be a complex process, especially when both conditions are present. Here are detailed answers to your questions based on current medical practices and knowledge.

1. Treatment of Viral Warts: Your gynecologist's advice regarding the management of viral warts is generally sound. The purpose of cryotherapy (freezing treatment) is to remove the visible warts, but it does not eliminate the underlying human papillomavirus (HPV) that causes them. Therefore, while the warts may fall off, the virus can remain dormant in the body. The use of topical treatments, such as the medication you mentioned (likely imiquimod or podophyllotoxin), can help in managing the warts by stimulating the immune response against the virus. Additionally, getting vaccinated against HPV is highly recommended as it can prevent future infections and reduce the risk of cervical cancer. It is essential to follow your healthcare provider's recommendations and maintain regular check-ups.

2. HIV Testing and Results: Regarding your HIV test, results are typically available within a few days to a week, depending on the testing facility. In many cases, you can check your results through your health insurance app or portal, but this may vary by location and provider. If the results are not available online, you will need to return to your healthcare provider for the results. It’s important to remember that HIV testing is confidential, and discussing your concerns with your doctor can provide you with the necessary support and information.

3. Self-Testing for HIV: While self-testing for HIV can provide quick results, it is essential to use a reliable test. Blood tests are generally more accurate than saliva tests, but both can be effective if done correctly. If you choose to use a home test, ensure it is FDA-approved and follow the instructions carefully. However, keep in mind that a positive result should always be confirmed with a follow-up test conducted by a healthcare professional.

4. Colonoscopy and Viral Warts: If you are scheduled for a colonoscopy, it is crucial to inform your gastroenterologist about the presence of genital warts. Generally, the procedure itself should not spread the virus, as the colon and rectum are separate from the genital area. However, your doctor may take extra precautions to ensure that there is no risk of cross-contamination. It’s also important to discuss any concerns you have about the procedure and how it may relate to your current health issues.

In summary, managing viral warts and hemorrhoids requires a coordinated approach involving various healthcare providers. It is essential to follow through with recommended treatments, maintain open communication with your doctors, and stay informed about your health. Regular check-ups and preventive measures, such as vaccination and safe practices, are crucial in managing these conditions effectively. If you have any further questions or concerns, do not hesitate to reach out to your healthcare team for personalized advice and support.

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